Which hepatitis is associated with direct blood contact and rarely sexual transmission?

• A. Hepatitis A.
• B. Hepatitis B.
• C. Hepatitis C.
• D. Hepatitis E.

Answer: (C)

Hepatitis C is primarily spread through blood-to-blood contact. The most common routes are sharing needles or other equipment to inject drugs, needlestick injuries in healthcare settings, or receiving contaminated blood products before screening improvements. Sexual transmission can occur but is relatively rare, especially among people with no other risk factors; risk increases with factors like multiple sexual partners or coexisting sexually transmitted infections such as HIV. This contrasts with hepatitis A and E, which spread mainly through the fecal-oral route via contaminated food or water, not through blood. Hepatitis B also transmits through blood and sex, but it is more readily transmitted sexually and has an effective vaccine, whereas hepatitis C does not have a vaccine and is primarily a bloodborne infection.